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ALMOUIE PEDIATRICS

Pediatrics·CORPUS CHRISTI, TX·NPI: 1881742575Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.0M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2022-11(59 months)
Billing appears to have stoppedLast active: 2022-11

Total Paid

$23.0M

$23,008,778

Total Claims

1.2M

Beneficiaries

1.1M

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$128K
-19%
2019
$104K
+2225%
2020
$2.4M
+366%
2021
$11.2M
-19%
2022
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 17% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$3.9M

162K claims · 17.0%

Your Cost: $24.19/claim|Median: $37.81
0.6× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.2M

102K claims · 14.1%

Your Cost: $31.81/claim|Median: $53.41
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.1M

29K claims · 9.2%

Your Cost: $72.68/claim|Median: $75.18
1.0× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2.1M

54K claims · 9.1%

Your Cost: $39.16/claim|Median: $30.04
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.8M

26K claims · 7.7%

Your Cost: $68.31/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.7M

23K claims · 7.5%

Your Cost: $74.60/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.2M

15K claims · 5.0%

Your Cost: $79.06/claim|Median: $80.15
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

149K claims · 4.9%

Your Cost: $7.65/claim|Median: $17.85
0.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$619K

15K claims · 2.7%

Your Cost: $41.98/claim|Median: $34.62
1.2× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$439K

6,453 claims · 1.9%

Your Cost: $68.00/claim|Median: $73.46
0.9× median
99429Normal range

$426K

23K claims · 1.9%

Your Cost: $18.82/claim|Median: $28.58
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$392K

5,238 claims · 1.7%

Your Cost: $74.81/claim|Median: $65.64
1.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$387K

4,725 claims · 1.7%

Your Cost: $81.84/claim|Median: $81.92
1.0× median
99000Top 25%

$357K

39K claims · 1.6%

Your Cost: $9.20/claim|Median: $2.30
4.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$309K

31K claims · 1.3%

Your Cost: $10.12/claim|Median: $11.48
0.9× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$290K

3,575 claims · 1.3%

Your Cost: $81.01/claim|Median: $79.89
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$255K

46K claims · 1.1%

Your Cost: $5.51/claim|Median: $6.93
0.8× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$219K

2,504 claims · 1.0%

Your Cost: $87.56/claim|Median: $83.63
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$214K

27K claims · 0.9%

Your Cost: $7.92/claim|Median: $9.10
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$189K

29K claims · 0.8%

Your Cost: $6.51/claim|Median: $12.63
0.5× median
87634Normal range

$176K

8,201 claims · 0.8%

Your Cost: $21.42/claim|Median: $48.78
0.4× median
99050Top 5%

$170K

2,314 claims · 0.7%

Your Cost: $73.62/claim|Median: $11.81
6.2× median
Q3014Normal range

Telehealth originating site facility fee

$166K

8,659 claims · 0.7%

Your Cost: $19.21/claim|Median: $15.37
1.2× median
87400Normal range

$158K

21K claims · 0.7%

Your Cost: $7.37/claim|Median: $8.40
0.9× median
87804Top 25%

Influenza virus detection, rapid test

$145K

6,616 claims · 0.6%

Your Cost: $21.94/claim|Median: $12.59
1.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$140K

5,161 claims · 0.6%

Your Cost: $27.22/claim|Median: $28.46
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$120K

2,617 claims · 0.5%

Your Cost: $45.80/claim|Median: $57.85
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$70K

1,094 claims · 0.3%

Your Cost: $63.97/claim|Median: $84.03
0.8× median
87420Normal range

$69K

7,121 claims · 0.3%

Your Cost: $9.67/claim|Median: $9.78
1.0× median
83655Normal range

$58K

6,085 claims · 0.3%

Your Cost: $9.54/claim|Median: $10.49
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$49K

693 claims · 0.2%

Your Cost: $70.58/claim|Median: $72.71
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$39K

539 claims · 0.2%

Your Cost: $72.18/claim|Median: $74.09
1.0× median
99001Normal range

$35K

15K claims · 0.2%

Your Cost: $2.40/claim|Median: $2.31
1.0× median
82306Normal range

Vitamin D, 25 hydroxy

$33K

1,486 claims · 0.1%

Your Cost: $22.21/claim|Median: $18.18
1.2× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$33K

109 claims · 0.1%

Your Cost: $301.56/claim|Median: $169.17
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$31K

9,712 claims · 0.1%

Your Cost: $3.22/claim|Median: $4.71
0.7× median
87807Normal range

$28K

3,733 claims · 0.1%

Your Cost: $7.60/claim|Median: $10.06
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$25K

1,256 claims · 0.1%

Your Cost: $20.00/claim|Median: $25.06
0.8× median
U0001Normal range

$22K

747 claims · 0.1%

Your Cost: $29.55/claim|Median: $24.79
1.2× median
80050Normal range

General health panel

$22K

661 claims · 0.1%

Your Cost: $33.02/claim|Median: $25.59
1.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$18K

500 claims · 0.1%

Your Cost: $36.21/claim|Median: $33.72
1.1× median
96160Normal range

Patient-focused health risk assessment

$16K

9,831 claims · 0.1%

Your Cost: $1.63/claim|Median: $2.10
0.8× median
99051Normal range

$15K

1,078 claims · 0.1%

Your Cost: $14.09/claim|Median: $7.89
1.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$13K

335 claims · 0.1%

Your Cost: $38.34/claim|Median: $36.70
1.0× median
84439Normal range

Free thyroxine level blood test

$12K

1,780 claims · 0.1%

Your Cost: $6.92/claim|Median: $6.31
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$10K

1,839 claims · 0.0%

Your Cost: $5.25/claim|Median: $9.87
0.5× median
80053Normal range

Comprehensive metabolic panel

$10K

2,791 claims · 0.0%

Your Cost: $3.45/claim|Median: $7.24
0.5× median
81003Normal range

Urinalysis, automated without microscopy

$7K

5,367 claims · 0.0%

Your Cost: $1.34/claim|Median: $1.48
0.9× median
80061Normal range

Lipid panel

$5K

598 claims · 0.0%

Your Cost: $9.13/claim|Median: $8.41
1.1× median
97169Normal range

$5K

245 claims · 0.0%

Your Cost: $19.43/claim|Median: $22.00
0.9× median

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Consumer Directed Services in Texas Inc.

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Caregivers Home Health TX INC

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$477.7M

Legacy Community Health Services, INC

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$406.5M

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Phoenix Children's Hospital

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$162.4M

Texas Children's Physician Group

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$160.8M

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